Compassion Fatigue/ Secondary Trauma:

Transcription

1 Compassion Fatigue/ Secondary Trauma: "Destroyer of workplace compassion and morale" Carolyn Curtis, Ph.D. & Charles Stolzenbach, LMFT

2 Compassion Fatigue is a form of physical, emotional, and spiritual exhaustion.

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4 It is common for line staff to be impacted by compassion fatigue. (Gaille, 2017) 48% of US workforce experience high levels of personal distress that is directly associated to job duties. 40% of nurses report experiencing compassion fatigue 68% of people who experience compassion fatigue are full time employees Effects of Adverse Childhood Experience on consumers and staff. Workers carry their own trauma history

5 Compassion fatigue (AKA Secondary Traumatic Stress) is a common but an unrecognized effect in Human Service, threatening front line workers morale, productivity, health, and general wellbeing.

6 We are here to help build a trauma-informed workplace equipped with the tools of mutual self-care and leadership support.

7 The goal is to contain the destructive potential of compassion fatigue.

8 There is a strong connection between Secondary Traumatic Stress and careers that require helping other in some way. Why a trauma informed workplace is needed?

9 Organizational Trauma Client needs vs. Delivery service models Technology and Paperwork demands Lawsuits, reforms, taskdriven vs. relational Feeling unsafe at work Staff and Budget Cuts!!! Staff Turnover Not enough time for collaboration or supervision Traumatic eventsviolence, suicide, deaths Trauma-Organized Systems: Chronic Stressors and Collective Trauma

10 Every day stressors that lead to Compassion Fatigue The case numbers are growing, while the number of Case Workers is frozen. Not able to help consumers with available resources Watching consumers make fraudulent claims Unrecognized behavioral effects of trauma Conflicting values

11 Trauma Organized Reactive/ Organizational Hyperarousal-Crisis Driven Reliving/Retelling Fragmentation-Us vs Them Interpersonal Conflict/Silo Organization Disassociation/ Amnesia Avoiding Numbing Authoritarian Leadership

12 Staff and management often are unaware how stress, trauma, and compassion fatigue effects workplace productivity Insubordination Absenteeism Frequent illness Apathy Easily distracted Low productivity

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15 Stress, Trauma, & Compassion Fatigue are Public Health Issues They are linked to 6 leading causes of death: Heart Disease Cancer Lung Disease Fatal Accidents Liver Disease Suicide

16 Staff and management can begin to recognize the signs and symptoms of compassion fatigue in self and others. Suicide rates, employment turnover, burnout, and other disruptive symptoms are all related to the symptoms of compassion fatigue. The two most common reactions amongst workers who begin suffering from compassion fatigue are cynicism and emotional exhaustion. One in two Child Welfare Workers experience compassion fatigue symptoms that fall within the severe range.

17 What management support is needed for a trauma informed workplace?

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19 Create a trauma informed workplace Shared language Foundational understanding of trauma Understand the nature and impact of trauma Understanding racial disparities and insidious trauma

20 Front line workers are our first responders. Only 28% of people in helping profession have received some sort of specialized trauma training.

21 San Francisco Dept. of Public Health Model

22 San Francisco Dept. of Public Health Model

23 Trauma Understanding Trust & Dependability System & Service Perspectives Comprehensive Safety Neurobiology & Development Cultural Humility & Responsiveness Resilience & Recovery Collaboration & Empowerment

24 Trauma Systems 101 Foundational training in trauma Half day training Common language and common practices Trauma informed commitments Adopt, adapt, align

25 Build Trauma Informed, Educated Workforce Train the Trainer Harnessing Local Trauma Experts

26 Trauma Informed System: Conceptual Framework Leadership Engagement ORG Leaders Middle Management Evaluation Training: Trauma 101 Policy and Practice Embedded trainers Champions

27 Cultural humility & Responsiveness Racial/cultural equity Practices Trauma Understanding TIS 101 Evaluation Organizational Healing Policy Resilience & Recovery Mindfulness Compassion & Dependability Reflective Supervision Collaboration & Empowerment Participatory Decision Making

28 Montefiore University Hospital Model Brooklyn, N.Y.

29 Learning collaboratives Introducing trauma informed care understanding stress and trauma Manifestations of trauma Secondary traumatization Reactions to trauma Resilience, recovery, and commitment to change

30 It is not what is wrong with you; it s what happened to you? Its not what is wrong with this organization. It is what happened to this organization? Trauma Aware Leadership:

31 What s your ACEs Score?

32 Adverse Childhood Experiences study is foundational for trainings.

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34 Other traumas Historical trauma Micro-aggressions Natural disasters Community based trauma Zip code Allostatic load Systems oriented trauma- Retraumatization

35 The stories of the traumatic stress of refugees from war and civil persecution. Suffered from lack of food, clean water, & lack of shelter. Witnessed arrest, torture, & execution of community leaders. Sexual abuse and rape Physically harmed, beaten, causing head trauma Suffocation, strangulation, downing Night mares, intrusive memories, ever on guard

36 Supervision with trauma awareness. Reflective supervision Stress circle Collaborative effort Feedback EAP is your best friend

37 Daily Stress Temperature Reading

38 What are tools of mutual self-care?

39 Mind Matters Pinwheel Self soothing emotional regulation skills Develop an observing self Relationship Skills Compassion for the hijacked brain Self care Live intentionally

40 Mutual self care: Personal growth system Individual plan to integrate trauma informed principles into their daily life Goals provides input for staff training Trauma Informed Champion Reminders and Support for Change Follow up at one year San Francisco Public Health

41 Personal Growth PEARLS 920-CALM Deep breathing Mindfulness Calm spaces Walking routes Buddy System EAP Debriefing Montefiore University Hospital Brooklyn, N.Y.

42 Reactions to trauma Remember the acronym, PEARS Partnership: Empathy: Apology: Respect Support Let s work together. That sounds frustrating. I am sorry that happened. You have gone through a lot. Let s see what we can do.

43 The Three Good Things 14 Nights Write 3 good things that happened that day. Label them with one of these positive emotions: *Joy * Gratitude * Serenity * Interest * Hope *Pride *Amusement *Inspiration *Awe

44 The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk through water without getting wet. Naomi Rachel Remen

45 Reflect What inspired you to be in this field and do this work? What motivates you to continue? Develop a personal care/service philosophy. Write it down.

46 Compassion fatigue will always exist because it takes a lot of effort to care for people. These careers must exist because help is needed every day. Through it all, it is important to make sure each worker takes self-time everyday, to maintain their quality of work and continue being a provider in this helping service.